Individual
LUIS BIENVENIDO CARABALLO ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25229
NH
Other
Enumeration date
03/30/2019
Last updated
10/13/2024
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